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Organization
ATLAS AUTISM HEALTH MISSOURI LLC
Active
Organization
ATLAS AUTISM HEALTH MISSOURI LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ABISHEK THIAGARAJ (OWNER)
(248) 943-8811
Entity
Organization
Contact information
Practice address
800 CHERRY ST LOWR SUITES, COLUMBIA, MO 65201-4824
(573) 200-6745
Mailing address
800 CHERRY ST LOWR SUITES, COLUMBIA, MO 65201-4824
(573) 200-6745
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
—
—
261QD1600X
Developmental Disabilities Clinic/Center
—
—
261QM0855X
Adolescent and Children Mental Health Clinic/Center
Primary
—
—
Other
Enumeration date
03/03/2023
Last updated
12/30/2024
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